OrganizationActive
Legacy Drugstore Inc
NPI 1003135195 · Community/Retail Pharmacy · Elizabeth, NJ
Legacy Drugstore Inc is a Community/Retail Pharmacy organization in Elizabeth, NJ (NPI 1003135195).
Provider details
- NPI number
- 1003135195
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gurdine Soma, Pharmacist, Owner(908) 352-0050
- License
- 28RS00703600 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 S Broad St
Elizabeth, NJ 07202-3502
Phone: (908) 352-0050
Fax: (908) 352-0075
Street-level locationGet directions
Mailing address
400 S Broad St
Elizabeth, NJ 07202-3502
Other names (DBA / former)
- Doing business as
- Legacy Drugstore
Registry dates
- Enumerated
- 2010-05-28
- Last updated
- 2015-02-17
Frequently asked questions
- What is Legacy Drugstore Inc's NPI number?
- Legacy Drugstore Inc's National Provider Identifier (NPI) is 1003135195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Drugstore Inc?
- Legacy Drugstore Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Legacy Drugstore Inc located?
- Legacy Drugstore Inc's practice location on file with NPPES is 400 S Broad St, Elizabeth, NJ 07202-3502.
- What is Legacy Drugstore Inc's phone number?
- The practice phone number listed in the NPPES registry for Legacy Drugstore Inc is (908) 352-0050.
- Who is the authorized official for Legacy Drugstore Inc?
- The authorized official listed on Legacy Drugstore Inc's NPPES record is Gurdine Soma, Pharmacist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Drugstore Inc's NPI active?
- Yes — Legacy Drugstore Inc's NPI (1003135195) is active in the NPPES registry as of the last update on 2015-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.